I am now currently here in August 2016. I dont think it has been around that long. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. Some of the patients will already have been through the operation and will be happy to offer reassurance and support. Theyre like impossible to find it seems these days. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. I traveled from NY TRYING TO AVOID the horrors of the mesh repairs. Realistically, I am 50, 57 and 163 pounds, am I really going to lose 30 pounds and keep it off for the rest of my life? Im 60 and 511 @ 180lbs, so not overweight and in good health. If the patient already has chronic pain after the first repair, the recurrence is not likely the cause. It's nice and bright! The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. Registration will begin at 8:00AM and will close once we have reached the maximum number of appointments available that day. Have had it checked and been informed that it is not at the point where a repair is required. On top of that, the hernia still exists, larger and more painful than ever. Relaxing views and an estate-like setting are an important part of the total Shouldice experience and help to stimulate the bodys own natural abilities to heal. It is almost impossible for a hernia to recur through a piece of mesh. To ensure the safety of our employees and patients, do not come to the Clinic if you are feeling unwell, have any COVID-19 symptoms, or have come into contact with anyone suspected of having COVID-19. In our small study no patient had any pain after 6 weeks. Now the Shouldice clinic does do something I agree with in part. I hear that the wait time is up to a few years for the surgery itself. Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? My first week after surgery at Shouldice wasnt too bad. Do you yourself know how many of your hernia surgeries fail? Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. Also, he only went there after years of being discouraged by general surgeons such as yourself but after multiple failed hernia surgeries by these same general surgeons. In Australia, the introduction of private healthcare has resulted in exactly what has happened here, albeit on a much larger scale. We know that asking patients about their satisfaction with their care has nothing to do with the quality of care provided. It was named after E.E. I came up to Shouldice from the States not because of concern over use of mesh but because of concern over general anesthesia which I was told I would have in the States. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. WOW. Im left asking the question do I fix it now or after pregnancy? Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. I did not get a reply what so ever until September 2014 advising me that they can operate on me. The last one before going there was a laproscopic surgery done by a cocky 40-something that failed before he even left the hospital & then turned into a fistuala which the surgeon was in denial about for months & could have killed him. Mr Dedes- there are many fine surgeons and hospitals in the GTA area which fix hernias. That would depend on what age the first repair was done, the time since the first repair, and the BMI and other health factors (such as smoking) of the patient with the recurrence. So Im going to outline some of my problems with the Shouldice clinic, which is held up around the world as a great Canadian healthcare success story. They do not take overweight patients, they do not take complicated cases, and they do not take hernias that are not obviously visible right at the time of surgery itself. But the reality is that in Ontario anyway, major hospitals are getting as bad as any private clinic in letting cost considerations trump quality of patient care, but thats a whole other topic. (LogOut/ They have been quite successful with it. Shouldice Hospital is a bit of curious place. And I appreciate that is frustrating when Shouldice info is hard to get but I can tell you follow up & accurate reporting of success rates for the rest of the system is just as unreliable because of useless record keeping. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Somehow he would be entitled to weeks of paid leave with the hospital option due to healing times for their style of treatment whereas with the Shouldice option hed be back at work in a few days. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. But to watch how efficient and careful the surgeon was, isolating nerves to make sure they werent damaged, reconstructing the inguinal ring, and the detailed suturing technique, I am very satisfied with the result. 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. Reilly's, a disused bar, was barricaded up by the rebels, and it . 2016 Feb;59(1): 19-25. This is a complex technique involving multiple overlapping sutures across two layers of muscle. That may sound expensive to people from Canada or anywhere else with a cost effective health care system, but keep in mind that health care in the USA is extraordinarily expensive. In order to lose the proper amount hed need to eat saw dust and exercise. http://Www.desarda.com. But sometimes recurrences do happen. I imagine quite a few would turn tail and run, but listen: I was NEVER in pain and it only lasted 5 days and it had to be done. Your post here changed my life, my plans, in a good very good way. Dr. Yunis and staff accommodated my physical disability, handicap. Hi, I am the diabetic obese patient with an abdominal hernia. And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. It doesnt matter what method you have these days the recurrence rates are all about the same,low. My personal experience is that my husband moved a piano for me 20 years ago. The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. Fully sedated for duration of procedure. Is my scar larger than it could have been with a mesh repair? The clinic sits on luxurious grounds and offers one thing and one thing only. This clinic needs to keep people in hospital to make money. To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. And while I agree with you on many of the double-standard, private taxing points surrounding Shouldice, I disagree that general surgery or mesh related surgery is in any way a better option. I would have to see why, based on outcomes & diversity of treatments required, doctors/surgeons should have common requirements for their practice. Instead, youll stay as our guest for a few days, while you participate in a holistic, professionally supervised program of healing and recovery. .1st operation to save my life. I have never worked at, or been involved with the Shouldice clinic, so this blog comes from my own professional opinion as a general surgeon/hernia fixerand defender of evidence based medicine and socialized healthcare, discussions with many patients who have gone or are considering going to the Shouldice clinic, going to a talk some years back given by a surgeon who worked there, and the Shouldice clinic website. Sharing the experience with a bunch of other patients was a big plus in my opinion. Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. Last year, it had a record year and performed nearly 7,500 operations. I have a rather large incisional hernia and am considering a trip to Shouldice. On what basis do you make the claim that the media over-represents the risk? [1] The hospital specializes in hernia care. If I had an unhappy patient who did not want to have surgery with me again, I would refer them on for a second opinion. Whether that fear of mesh is warranted, I do not know. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. 3 weeks after surgery, I was starting to return to running, but still avoided lifting anything heavy. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. It is virtually impossible to find any real data on Shouldice. Want fast and effectively perfect hernia repair? The recurrence rate for incisional hernia repair without mesh would approach 100 % for a large incisional hernia, so I (and most other general surgeons) would likely not recommend repair without the use of mesh. Just another casualty to this epidemic caused by mesh. Are you willing to be more specific about the nature of your problems post op? I will miss the black squirrels. Placed in a room with patient who had surgery the day prior. DO NOT EAT OR DRINK ANYTHING, including water, after midnight the night before the procedure unless instructed otherwise by your surgeon. Ive tried to get surgery twice. You share good times with the people you meet there. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. I was extremely excited to not have to wait a long time to get in for an operation as the hernia was making it almost impossible to drive. I have been there two times for both right and left side repairs. I had two hernias repaired in November last year. I have a consultation in 6 months to decide if I am eligible for surgery (I can tell you now I am) at a local hospital. He chose the hospital. A skim off of the healthy and the wealthy to the private system, leaving the public system to deal with the emergency, unhealthy, and poorer patients. Hi Tyler. I had a double inguinal done at Shouldice 10 weeks ago and was in a fair bit of discomfort for the first 8 weeks but am feeling much better now and am thankful I have no mesh to disrupt things down the road. SHOULDICE HOSPITAL - 33 Photos - 7750 Bayview Avenue, Thornhill, ON - Yelp Auto Services Shouldice Hospital 3 reviews Unclaimed Hospitals Closed 9:30 AM - 3:00 PM See hours Write a review Add photo Photos & videos See all 33 photos See All 33 You Might Also Consider Sponsored Centres For Health And Healing 16.4 km away from Shouldice Hospital Creepiest Pre Op room Ever. I agree with everything that you say. I have only good things to say about the Shouldice! A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. I would imagine a lot of people wouldnt go back to someone who wasnt successful with their surgery the first time unless it was very minor surgery. They are not sure what the issue for me is caused by. You can travel with a hernia as long as its been 3 months since you were seen for it. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. I still feel very comfortable with my decision to use the Shouldice clinic. That was a bit odd. My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. If I could go back Id take my chances on reoccurance hands down. 1. shouldice offers reliable hernia repairs, with few relapses. Same nurse. Length of stay is ridiculous not to mention the Bill for said stay People seem to either love it or hate it. They do this to improve success rates (which of course patients want too) to reduce fat in the tissues which, I imagine you know but others might not, is a factor with or without mesh. I had an inguinal hernia repair at Shouldice 4 days ago. Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? My father needs a hernia operation. 0. Have you or your staff followed up with all your patients? Long initial waits for assessment, then flows like a manufacturing process. Your comment/reply from January 25, 2016 AT 11:14 PM says: for the vast majority of patients they will be aware if their repair, or have to take medications for it., I am guessing that you probably meant:they will NOT be aware OF their repair, or have to take medications for it.. I sympathize with you and your husband. Our registered dietitian will develop a personalized weight loss program for you and show you how to make healthy food and exercise choices. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. Regarding the Weve always done it this way aspect? In speaking with their surgeons, they are looking to have their technique more widely adopted and have recently had visiting doctors from the UK and are making efforts to have the technique more widely known. As for speed, I think they say it takes around 30 minutes to do the surgery, and they have a short wait list. Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. My biggest concern is chronic pain and it seems there is a lack of research reporting on chronic pain and pregnancy. The example of my coworker is different. As for my health state, today is two weeks and I am still having significant pain from the muscle lump. Shouldice is the gold standard of no-mesh hernia repair. Ive had friends who had surgery with the best and have come out messed up. I wanted to provide an update on my above comment and how my recovery has gone. Food was above what was expected of hospital food. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. Change), You are commenting using your Twitter account. immortals fenyx rising nike armor set. I understand that they likely inflate their success rates by choosing ideal patients, but I do not have the technical skills to actually evaluate the efficacy of the proposed mechanism of repair. I just want the best treatment possible with the lowest chronic pain! I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. And if not, would I need further surgery in my 60s if I gain a few pounds. They stick to what they know but when they need to be different for the better of their patient they dont know how to and rather than referring their patient to one that would be better for the patient. Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. Often times we do not own up to our own responsibility in the situation. He was not too much over weight at that time. At Shouldice, we recognize many of our patients have family and friends with them. The goal is to help patients lose weight so that fat no longer hangs from and weakens the abdominal muscles, helping the surgery to go more smoothly. I know Shouldice will also cost me more than getting the mesh procedure done in-network here in the US but I feel that at least Ill be giving myself a chance of not exposing myself to a permanently inserted foregin object. Of course, that is difficult work which the shouldice is not interested in. Thanks for your comments. I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. Thirty five is a fair number if done completely by the surgeon in question I would think. Drs. Two questions: (1) do you think a surgeon who did 30 laparoscopies in residency and 5 shortly after in private practice is sufficiently experienced to do bilateral inguinal hernia repair with the TEP method? Physicians cherry pick their patients. Bus operators. She commented that the incision was very near and well done. That is simply how medical innovation for medical products in our capitalist society works. The first time I was sick with a high white blood cell count and they send me back home this was 5 years ago, 3 years ago I tried again and this time I had diabetes and they told me to go back home on the day of the surgery because I was coughing too much, the reason I was coughing was because of Ramipril a HBP medication. Shouldice effectively skims off elective procedures in a very healthy, wealthy, and slimsegment of the population that is extremely motivated to get their hernias repaired atthis private clinic. in sum, shouldiced uses high value, low cost strategy. The Shouldice clinic was purchased as an estate in the early 50's, so it definitely has that old, historic feel to it. Show More. Here is a run down of my thoughts. I have been informed by most of the local hospitals that there is nothing they can do. Well, I had my right side hernia done 4.5 weeks ago at the local hospital, mesh method. All three were done by general surgeons, and I can honestly say I would have been better off not getting any surgeries from the beginning. The authors looked at repairs in Ontario hospitals over a 10 year period and concluded that Inguinal hernia repair at Shouldice Hospital was associated with a significantly lower risk of subsequent surgery for recurrence than repair at a general hospital. I find this absolutely compelling evidence supporting a visit to Shouldice versus other hospitals in Ontario and, for me, I think its plausible to believe that these findings would not be dissimilar if you were to compare Shouldice repairs versus outcomes of repairs done in general hospitals in the States. My husband went in, doctor said lose weight and i will do it. I did that search, and Im not sure if I saw exactly what you saw, but yes even though Shouldice method (performed at the Shouldice hospital specifically) has a very low recurrence rate, certainly mesh will have the lowest recurrence rate. However there is more to it. At this stage I cannot guage the quality or durability of the underlying repair. They do not have to do emergency general surgery, ever, how convienient. I wonder if a nerve block might be the answer. I think it depends on the surgeon involved and what your expectations are around the surgery. over 30 years and thousands of repairs we have redone 3 for pain The last was 2 weeks ago and already he is pain free. I agree that the beds are uncomfortable and some of their routine seems a bit military and dated, but I was very confident in their abilities and a few days of discomfort at a hospital is nothing compared to the long term results. I have to say, the experience was excellent. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. My recommendation for anyone 40 and under is to NOT get mesh. Doctors and nurses very knowlegdeable, and covered by OHIP. Obviously varies. I absolutely follow up all my hernia patients. I hike a lot, mtn bike, lift >100# items, etc. In the mean time, it scratches his inner leg that bleeds, he has fallen down the stairs numerous times, gets headaches and pees the bed! For a reduction in u from 0.90 to 0.80 on the x-axis, find the associated reduction in wait time Tq (on the y-axis). 2. TORONTO Shouldice Clinic Hernia Repair - August 2020 2,289 views Oct 22, 2020 27 Dislike Share Save Herve Del Norte 542 subscribers I provide a summary of my recent hernia repair surgery at the. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. IMO unless someone events a hypoallergenic mesh that is proven to be inert in human flesh for 40+ years that allows nerves to grow around it without hindrance then I think hernia mesh repair days are numbered.